All of the four following criteria must be met (for more details, please refer to the WADA International
Standard for Therapeutic Use Exemptions (ISTUE) Article 4.2):
– The athlete has a clear diagnosed medical condition, which requires treatment using a prohibited
substance or method;
– The therapeutic use of the substance will not, on the balance of probabilities, produce significant
enhancement of performance beyond the athlete’s normal state of health;
– The prohibited substance or method is an indicated treatment for the medical condition, and there is no
reasonable permitted therapeutic alternative;
– The necessity to use that substance or method is not the consequence of the prior use (without a TUE),
of a substance or method which was prohibited at the time of use.
Athletes who are subject to anti-doping rules would need a TUE to take a prohibited substance or use a
prohibited method. You should verify with “Anti-Doping Agency” SNCO https://armnado.am/tue/ to
know to whom you need to apply and if you can apply retroactively.
First, check if the required medication or method you intend to take or use is prohibited as per the WADA
[Prohibited List / page. Check your medication” by «Non-prohibited List» on ARM-NADO website.
You have a responsibility to inform your physician(s) that you are an Athlete bound to anti-doping rules.
You and your physician(s) should check the Prohibited List for whatever substance/method you areprescribed. If the substance/method is prohibited, discuss non-prohibited alternatives, if there are none, apply
for a TUE. Remember athletes have the ultimate responsibility. Contact “Anti-Doping Agency” SNCO if
you are having difficulties.
Then, contact “Anti-Doping Agency” SNCO to determine your competition level and TUE application
If it is determined that you are a National-Level Athlete, National-Level Athlete: Athletes who compete in
sport at the national level, as defined by each National Anti-Doping Organization, consistent with the
International Standard for Testing and Investigations. In Armenia, National-Level Athletes are defined as set
out in the Introduction to these Anti-Doping Rules you must apply to “Anti-Doping Agency” SNCO in
advance, as soon as the need arises, unless there are emergency or exceptional circumstances.
For substances prohibited in-competition only, you should apply for a TUE at least 30 days before your next
competition. Please refer to the section “How to apply to “Anti-Doping Agency” SNCO for a TUE?”
If your level is lower than the “National-Level” as defined above, Athletes who compete in sport at the
national level, as defined by each National Anti-Doping Organization, consistent with the International
Standard for Testing and Investigations. In Armenia, National-Level Athletes are defined as set out in the
Introduction to these Anti-Doping Rules you are entitled to apply for a retroactive TUE after being tested by
“Anti-Doping Agency” SNCO or any other Anti-Doping Organization (ADO).
A TUE granted by “Anti-Doping Agency” SNCO is only valid at the national level. If you are, or become
an International-Level Athlete, or compete at Major Games, that TUE will not be valid unless it is
recognized by the relevant International Federation (IF) or Major Event Organization (MEO). It is your
responsibility to check if your “Anti-Doping Agency” SNCO’s TUE is automatically recognized by such IF
“Anti-Doping Agency” SNCO can assist you in the determination of your level and TUE application
requirements, and, should the need occur; assist you in presenting your “Anti-Doping Agency” SNCO’s
TUE to an IF or MEO for recognition. Please contact by phone:
094282018, 098950322, 091554463, 055068515 or in person to Armenian Anti-Doping Agency (Yerevan,
Mikoyan 51, Olympavan)
You may only apply retroactively for a TUE to “Anti-Doping Agency” SNCO if:
– You required emergency or urgent treatment of a medical condition.
– There was insufficient time, opportunity or other exceptional circumstances that prevented you from
submitting the TUE application, or having it evaluated, before getting tested.
– As per our anti-doping rules of “Anti-Doping Agency” SNCO you were not permitted or required to
apply in advance for a TUE.
– You are a lower-level athlete who is not under the jurisdiction of an International Federation or
National Anti-Doping Organization and were tested.
– You tested positive after using a substance Out-of-Competition that was only prohibited In-
Competition (for example glucocorticoids).
In rare and exceptional circumstances and notwithstanding any other provision in the ISTUE, you
may apply for and be granted retroactive approval for a therapeutic use of a prohibited substance or method,
if considering the purpose of the Code, it would be manifestly unfair not to grant a retroactive TUE.
This unique retroactive TUE will only be granted with the prior approval of WADA (and WADA may in its
absolute discretion agree with or reject the “Anti-Doping Agency” SNCO’s decision).
Using a prohibited substance or method without a TUE could result in an Anti-Doping Rule Violation.
In case an application for a retroactive TUE is necessary following sample collection, you are strongly
advised to have a medical file prepared and ready to submit for evaluation.
“Anti-Doping Agency” SNCO encourages submitting TUE applications via ADAMS, together with the
required medical file. If you do not have an ADAMS account yet, please contact by hotline phone number
094282018 or 091554463] to have it set up.
Otherwise, please download the “Anti-Doping Agency” SNCO’s TUE Application Form
https://armnado.am/tue/ and once duly completed and signed, send it together with the required medical
file to firstname.lastname@example.org
Your TUE application must be submitted in a legible form using capital letters or typing.
The medical file must include:
Please note that your sports federation is responsible for further medical examination.
Any TUE application that is not complete or legible will not be dealt with and will be returned for
completion and re-submission.
To assist you and your doctor in providing the correct medical documentation, we suggest consulting the
WADA’s Checklists for TUE applications for guidance and support during the TUE application process, and
Medical Information to Support the Decisions of TUECs for guidance on specific common medical
conditions, treatments, substances, etc.
Keep a complete copy of the TUE application form and all medical information submitted in support of your
application, and proof that it has been sent.
Each TUE has a specific duration, at the end of which it expires automatically. Should you need to continue
to use the prohibited substance or method, it is your responsibility to submit a new application for a TUE
with updated medical information ahead of the expiry date, so that there is sufficient time for a decision to be
made prior to the expiry of the current TUE.
The presence (following sample collection), use, possession or administration of the prohibited substance or
method shall be consistent with the terms of your TUE. Therefore, if you require a materially different
dosage, frequency, route or duration of administration, you should contact “Anti-Doping Agency” SNCO as
you may be required to apply for a new TUE. Some substances and dosages, e.g., insulin, are often modified
during treatment and these possible fluctuations should be mentioned by the treating physician in the TUE
application and would usually be accepted by the ADO TUEC.
You or “Anti-Doping Agency” SNCO have 21 days to refer the matter to WADA for review after
notification of the non-recognition. You should send the same information that you submitted to “Anti-
Doping Agency” SNCO, and on which their TUEC based their decision, via a secure on-line method or by
registered mail at:
WADA Medical Department
World Anti-Doping Agency
Stock Exchange Tower
800 Place Victoria (Suite 1700)
P.O. Box 120
Montreal (Quebec) H4Z 1B7
The email address to enquire and/or send the request for review is: email@example.com
Pending WADA’s decision, “Anti-Doping Agency” SNCO’s TUE remains valid for national-level
competition and out-of-competition testing only. If the matter is not referred to WADA for review, “Anti-
Doping Agency” SNCO must determine whether the original TUE that was granted should remain valid for
national-level Competition and Out-of-Competition Testing.